Outreach Specialist

Patient Outreach Specialist Make a meaningful impact on the health and well-being of your community as a Patient Outreach Specialist! In this highly visible role, you’ll connect with patients across multiple communities, helping them stay on track with preventive care and chronic disease management. By building trusted relationships, coordinating access to important healthcare services, and partnering closely with providers and care teams, you'll play a vital role in improving health outcomes and closing gaps in care. If you are passionate about patient engagement, enjoy collaborating with others, and thrive in a mission-driven environment where every interaction can make a difference, we encourage you to apply and join our team. Job Summary The Population Health Specialist is responsible for outreach to patients with gaps in chronic disease management and preventive care. This role serves to support health status improvement through access to services, education, wellness support and reinforcing the importance of the patient/primary care provider relationship. Counties covered: Newport, Oxford, St. Clair Shores, Novi, and portions of Dearborn. Essential Functions Utilizes the Medical Home model to provide targeted outreach to identified patients. Includes current and new patients. Works on site in up to 15 clinics in the surrounding area. Utilizes EMR systems, registries, health maintenance data, opportunity reports, payer portals, and other data as available to validate gaps and conduct outreach activities as assigned. Maintains tracking of outreach and gap closure. Uses EMR tools to initiate outreach via portal messages, phone calls, and/or letters. Updates EMR systems and payer portals as appropriate. Supports supplemental data submission process for plans without electronic supplemental feeds. Collaborates with Practice Transformation Team on identification of quality care improvements. Shares findings of identified concerns/issues/quality care improvements related to gap closure, ordering process and documentation of care with the quality team. Prepares reports as needed. Collaborates with practice staff to provide additional information and coordination of practice level phone calls. Performs special focused projects/audits as assigned. Completes all scheduled eye exams at ambulatory clinics, updates portal information, and ensures practices receive results for all patients. Travels to ambulatory sites. Investigates community resources/assistance needed for patient population; ensures agency guest and/or information is available monthly to support development of material provided to the clinics. Outreaches to outside clinics and health systems for results and quality data needed for improvement of practice scores. Performs quarterly quality measure audits to ensure practices compliance with documentation requirements. Qualifications Required: High School Diploma or equivalent. Minimum of 2 years of experience as a medical assistant in a physician clinical practice, a clinical nursing program, or in a population health related role. Preferred: EPIC experience. Completion of an accredited Medical Assistant program or LPN, EMT, ER Tech, or equivalent education and relevant experience. Benefits Comprehensive benefits package to meet your financial, health, and work/life balance goals. On-demand pay program powered by Payactiv. Discounts directory with deals on restaurants, phone plans, spas, and more. Optional identity theft protection, home and auto insurance. Traditional and Roth retirement options with service contribution and match savings. Equal Employment Opportunity Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. #J-18808-Ljbffr